Individual
DR. SEAVER LEE SOON
Active
Individual
DR. SEAVER LEE SOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A95148
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A95148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A951480
BLUE SHIELD OF CA
CA
05
—
00A951480
—
CA
Enumeration date
07/04/2006
Last updated
10/17/2018
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